EL-16-2403•
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -8-16-2403
Permit Type: Electrical - Residential
Work Classification: Service Change
Permit Status: APPROVED
Issue Date: 9/1/2016
Expiration: 02/28/2017
Parcel Number
Applicant
93 NW 97 Street
Miami Shores, FL 33150-
1131010330250
Block: Lot:
BARBARA DELGADO
Owner Information
Address
93 NW 97 Street
MIAMI SHORES FL 33150-
93 NW 97 Street
MIAMI SHORES FL 33150-
Phone
Cell
Contractor(s)
LINDMAR ELECTRIC INC
Phone
(305)756-1075
CeII Phone
Valuation:
Total Sq Feet:
$ 3,000.00
0
Type of Work: UPGRADE SERVICE AND MAIN PANEL SUB -
Additional Info: UPGRADE SERVICE AND MAIN PANEL SUB -
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee -,
Education Surcharge
Notary Fee,
Permit Fees- Additions/Alterations
Scanning Fee
Technology Fee
Total: - $173.30
Amount
$1.80
$2.25
$2.25
$0.60
$5.00
$150.00
$9.00
$2.40
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL -8-16-61135
09/01/2016 Check #: 1933 $ 123.30 $ 50.00
08/29/2016 Check #: 1931 $ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
1
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDA . I ces.fy that all the foregoin• information is accurate and that all work will be done in compliance with all applicable laws regulating
construction ,,,i.� o i ..�� ermor .' uth. riz -uta hove -name• .. ntractor to do the work stated.
September 01, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
September 01, 2016 1
sA3d\(P Miami Shores Village
1%M
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING 'ECTRIC ❑ ROOFING
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS:
City: Miami Shores County:
RECFTZTPID
AUG 29.2016
BY:
FBC 2014 'Ifs
Master Permit No. e l - 8-1 (p - 2�-1 V 3
Sub Permit No.
❑ REVISION ❑ EXTENSION El RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Miami Dade
Zip: X3.3/6/
Folio/Parcel#: 11-3/0/— 033-0,a-5-0 Is the Building Historically Designated: Yes NO V
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address: 93 iW) c2 Si.
Phone#: 30c5'- F/5 /52.2—
City:
5ZZ
City: "-gin; 5' i ireJ State: Zip: 3 3/S7)
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: /../x2Pfrf //L( - Cr ?f C /AJC. Phone#: c� Db' j (o lD i3
Address: �9G Al 6-7 --sr /rrCC�
City: e ~i L- State: G•
Qualifier Name: 0.0e6-,14)170 L• //t), 7
State Certification or Registration #: e C /700 7/‘
DESIGNER: Architect/Engineer:
Address:
Zip: 3,..3/ijr
Phone#:�i'ID7S
Certificate of Competency #:
Phone#:
City: State: Zip:
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace ❑ Demolition
Value of Work for this Permit: $
Type of Work: ❑ Addition ��Alteration
r)Ot. (D
Description of Work: ��Gr/?/ per 5 4 C t AI /%,/A) Q�/�it%`� 541 -)91/1671
AtYil .tAJJ3i1ANA �'
WOO
Specify col
Submittal Fee $
Scanning Fee $ % rRadon Fee $
Technology Fee $ ' `/ 6
Structural Reviews $
(Revised02/24/2014)
0
t - 90
co/cc $
DBPR $ Notary $ S
Training/Education Fee $ v Double Fee $
Bond $
TOTAL FEE NOW DUE$ j 23. 3
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State Zip
Mortgage'Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The forering instrument was acknowledged before me this
2.4 day of (k 9.b . , 20 l� , by P3 r�i day of , ,J V , 20 f to , by
04/6k)O 0 L kJ D , who is personally known to
me as
iif' and who did take an oath.
NOTARY PUBLIC:
1:126S\D4 o1- , who is personally known to
me or vvtrolT ratitreerl- a..
identifieatiea-and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
VAL RIE ANN HAWKINS
Y.,1 Commission # EE 221031
a, AOP = Expires November 18, 2016
Thor Troy Fan Insurance 600,985-7019
*****************************
Sign:
Print:
J. JIITTA
Seal: �i"\�[ NNMy hd . Mote of Florida
COSIMONSO I FF 117697
w Cow bphis bp 13.2019
sammiMmIMNiked sn
******************** * *************
APPROVED BY „2Y ,t --l6 Plans Examiner
(Revised02/24/2014)
Structural Review
Zoning
Clerk
LINDMAR ELECTRIC INC
496 NE 89 STREET
EL PORTAL, FL 33138
July 4, 2016
State of O /l%,
County of PPG
Before me this day personally appeared
duly sworn, deposes and says:
12 -/t},e2 .L. /6% whom being
That he will the only person working on the project located at 77 01-/ 7 Z sr
tf/,st 7/ -shAO 'E s / �-
J1/6/
Sworn to (or affirmed) and subscribed before me this , ay of,20
y
Personally known
OR Produced Identification
Type of Identification Produced 4 A- -
v . EXPIRES ....q:8„..4
. �
vu_-
=::---.:10:.� v °p^� O
Q J� Edi � 1�
Q
i
'••..►...• •fir
/��/// .*****'R" �`�� Print, Type or Stamp Name of Notary
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida
County of Miami -Dade / f
The foregoing was acknowledge before me this Z(U day of P'J � Sk , 20 \ (o
By GGd1rc.
Notary:
SEAL:
\ah.
lanai1.,1
molar., �
,Y ••°lbc:
who is personally known to me43F-Itas-pr-eclueed
---as-identifisation.
N HAWKINS
ion # EE 221031
Expires November 18, 2016
Bonded Thru Troy Fain Insurance 800-385-7019
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SITE INVESTIGATION NOTE
EXAMINATION OF CONTRACT DOCUMENTS AND SITE OF WORK: THE BIDDER IS REQUIRED,
BEFORE SUBMITTING HIS PROPOSAL TO VISIT THE SITE OF THE PROPOSED WORK AND
FAMIUARIZE HIM OR HERSELF WITH THE NATURE AND EXTENT OF THE WORK AND
ANY LOCAL CONDITIONS THAT MAY IN ANY MANNER AFFECT THE WORK TO BE DONE
AND EQUIPMENT, MATERIALS AND LABOR REQUIRED THEREFORE. SINCE THE WORK INVOLVES
NEW AND/OR EXISTING BUILDINGS, SYSTEMS AND FACILITIES, SPECIAL CONSIDERATION SHALL
BE GIVEN TO EXAMINATION OF WORKING CONDITIONS, NEW FACILITIES AND ALL BUILDING
STRUCTURES FAMILIARIZE TO HIMSELF WITH ALL EXISTING CONDITIONS. SLIGHT VARIATION
OF ROUTING AND OR CONSTRUCTIONS SHOULD BE ANTICIPATED BY THIS CONTRACTOR TO AVOID
CONFLICTS WITH OTHER TRADES. THESE VARIATIONS ARE EXPRESSLY INCLUDED AS PART OF THE
WORK IWIENEVER REQUIRED AT NO ADDITIONAL COST TO THE O M ER. IGNORANCE ON THE PART
OF THE CONTRACTOR WALL IN NO WAY RELIEVE HIM OF THE OBUGATIONS AND RESPONSIBILITY
ASSUMED UNDER THIS CONTRACT.
NOTES
DENOTE 120 VOLTS COMBINATION
SMOKE/CARBON MONOXIDE DETECTOR
W/BATT.PACK AND INTERCOMENTED.
TES
RES. SMOKE DETECTOR 110 V SOURCE
TTERY BACK UP PER FBC
TES
3E ARC FAULT CKT BREAER IN WALL
?TICALS, LIGHTS & SMOKES)
TO COMPLY W/210-12 NEC. 2011
NEW 125 AMP OVER HEAD
SERVICE FROM FPL 3#1/0
THWN(CU) 1-1/4"4 COND.
- f -ILO ZU03
NEW 125 AMP
ELECT. METER
COMBO W/125 M.C.B.
1#6 THWN (Cu) G.
1N 1/2 COND.
•
•
ELECTRICAL SYMBOL LEGEND
O JUNCTION 80X
Qo HIGH HATS LIGHTING
Q VAPOR PROOF
O CEILING MOUNTED FIXTURE
WALL MOUNTED FIXTURE
4 Gil RECEPTACLE
e- SINGLE RECEPTACLE
1-0 2 P011 OUTLET
® SMOKE DETECTOR
Q RECEPTACLE
4 GARBAGE DISPOSAL
r ELECTRIC PANEL
151 EXHAUST FAN
WP WEATHER PROOF
$ SWITCH
$3 3WAY SWITCH
TELEPHONE
TELEVISION CABLE OUTLET
NOTE.
ALL NEW RECEP. INSTALLED
SHALL BE TAMPER RESISTANT
AS PER NEC. 406.11
NEMA 3R
EXTERIOR (INTERIOR
NEw
NOTE.
AT LEAST 75% OF ALL NEW
LIGHTS INSTALLED SHALL BE
HIGH EFFICIENCY.
NEW
3#4 THWN Cu)
1#8 THWM Cu) G
IN EXIST. 1" COND.
T ----i
1 I EXIST.
I SUB—PNL"B. I
100 AUP
120/240/10 I
14L0
125 AUP
120/240/1.
MLO
10K AJC
N- EW
#�ON()
80"0 THWN
IN EXIST. 1-1/4" CO
tOK AIC_j
Miami Shores Village
APPROVED
BY
FI
GRADE LE
TO REINFORCEMENT STEEL BAR
AS PER NEC 250-52—C •
J-$CTRICAL RISER DIAGRAM
DATE
.:IrSa DEPT
BLDG DEPT
;c '11.1 0T TO COMPLIANCE WITH Al L FFITFITAL
,. ': J "/ III I' 1 -, n ^ 1 1 rt ;! , ,
�l)
CU(E)
NFW FI FCT MFTFR 115 AARP
c
AUG 292016
7// / it/-'�h.//�'r/ j f;
299
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• • • ••• • • •
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• • • • • • • • • • • •
TYPE: EXISTING
SERVICE: SHOWN •• •
VOLTAGE: 120/240 Vj P1, 3NM •
MOUNTING: FLUSH • • ••'•
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a
50
20
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8000
O N
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wW
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1500
1/2
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PANEL. "4': MAIN BUS
:125
• • • • • NEUTRAL:125
• •• •••
• EXIT i•• MAIN: MLO
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REMARKS
• • • ••
• . • 1 • •
RVr(E)i • • • •
20
15
15
15
15
1/2
12
1/2
14
1/2
14
1/2
14
1/2
14
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SMALL. APPL ANc
BATH REO (E`
GEN. RECEP.& Lis=T(E)
GEN. RECEP.&
GEN. RECEP.& :.F)=7(E'
GEN. RECEP.& L11::4)7(E)
SPACE
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13
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SPACE
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REMARKS
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8
3/4
8600
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SMALL APPLIANCE (6)
12
1/2
1500
1
20
8
SMALL APPLIANCE (6)
12
1/2
1500
1
20
10
DISWASHER (6)
12
1/2
1200
1
20
2
REFRIGERATOR(E)
12
1/2
850
1
20
14
MICROWAIE (6)
12
1/2
1500
1
20
16
GARBAGE DiEP0SAL(E)
12
1/2
600
20
18
20
SUB-PNL"B" (E)
13360
2
70
212
"SPACE*:
>_EDER.
ED "ROM:
_\ A0C FAULT CIRCUIT INTERRUPTED PRO -C7044
N.0 NON CONC. LOAD
UGHTWG LOAD 0 3 VA/SF
ARC FAULT ORCUIT INTERRUPTED PROTECTION
N.0 NON CCNC. LOAD
LIGHTING LOAD 0 3 vA/SF
TYPE.
SERVICE'
VOLTAGE:
MOUNTING:
E%1STi`:13
SHOYrty
120/240
FLUSH
V/
SU
1PH, 3W:.
Q
S —`)P.'"-::71
.r
MAIN BUS:100
NEUTRAL:
AMLO
IC:
AIC: 10,000
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5000
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20
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1/2
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:EN KECEP.& LIGHT(1l)
P 1
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11"-91.74
1310
2
15
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SPA,
7-900
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W.. 11}-
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CONNECTEO LOAD: ----13,630 VA
- _EDER:
-_D FROM:
/
ARC FAULT ORCUIT INTERRUPTED PROTECTION
N.0 NON CCNC. LOAD
LIGHTING LOAD 0 3 vA/SF
FNGINLFN% It ANY CONI TIC I tn..urc rn,
Il TO OWNER CAN BE APPLILD.
CONTROL WIRING TO OTHER
SMOKE
SAME T. SEERINSIDE THE
PLANS
NEUTRAL
SMOKE
DETECTOR
IN/BATTERY BACK-UP
SWITCHED LEG
UNE SIDE
OF SWITCH
120 V. LINE
SMOKE DETECTOR CONNECTION DETAIL
TA
filP/
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